西南国防医药2012,Vol.55Issue(7):736-737,2.DOI:10.3969/j.issn.1004 - 0188.2012.07.014
Schatzkeer Ⅴ型胫骨平台骨折术后肢体肿胀与隐性失血量的关系
Correlation between limb swelling and hidden blood loss after operation for Schatzkeer V tibial plateau fracture
李兴鑫 1姚一民 1张聪 1陈一平 1娄延举 1檀臻炜1
作者信息
- 1. 610021,成都,解放军452医院骨科
- 折叠
摘要
Abstract
Objective To analyze the influence of hidden blood loss( HBL )on the degrees of limb swelling after the double incision for Schatzkeer V tibial plateau fracture. Methods A retrospective analysis was made among 24 patients with Schatzkeer V tibial plateau fracture who received double incision in our department from March 2009 to April 2011. Their HBL was calculated according to changes in perioperative hemoglobin. Detection was made in their average increasing value of planar limb circumference in d 1 - 3 after the operation. Pearson correlation analysis was used to study the correlation between postoperative HBL and changes in limb circumference. Results HBL significantly affected the changes in lower limb circumference( P < 0. 01 ), and there was a positive correlation between these two factors( P < 0. 01 ). Conclusion In the treatment of complicated tibial plateau fracture and especially Schatzkeer V fracture, there is a positive correlation between patients' degrees of limb swelling and HBL after double incision at internal and external sides. Decreasing the HBL plays a certain role in the relieving of swelling around the incision.关键词
胫骨平台骨折/Schatzkeer分型/隐性失血/肢体周径变化Key words
tibial plateau fracture/ Schatzkeer typing/ hidden blood loss/ changes in limb circumference
分类
医药卫生引用本文复制引用
李兴鑫,姚一民,张聪,陈一平,娄延举,檀臻炜..Schatzkeer Ⅴ型胫骨平台骨折术后肢体肿胀与隐性失血量的关系[J].西南国防医药,2012,55(7):736-737,2.